Individual
ERNESTINE WIELANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9081 NW 13TH ST, PLANTATION, FL 33322-4915
(954) 472-2972
Mailing address
9081 NW 13TH ST, PLANTATION, FL 33322-4915
(954) 472-2972
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2803292
FL
Other
Enumeration date
11/11/2012
Last updated
11/11/2012
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